CITY OF NEW YORK

DEPARTMENT OF DESIGN AND CONSTRUCTION

CONSTRUCTION CHANGE ORDERS

DOCUMENT CHECKLIST
Contract Registration No. ____________________ Change Order No. __________
Check all that apply: [ ] <=$50,000 [ ] > $50,000 [ ] No Cost Change Order [ ] Credit Change Order
[ ] Client/Sponsor Request [ ] Non-material Scope Change [ ] CM Build/Design Build [ ] Requirements Contract
The following documents constitute a complete change order package:
ORIG. COPIES DOCUMENT ENCLOSED/AT SITE

1 1 Document Checklist (this form) µ []

0 2 Change Order Log Entry for this Change Order µ []
1 1 Contract Change Form (Parts A, B, C and D) µ []
0 2 Contractor’s/CM’s Cost Proposal µ [•]
1 1 DDC Estimate µ (or DDC review copy of Contractor’s []
Cost Proposal)
0 2 Specs and/or drawings relative to CO condition µ []
(if applicable)
0 2 Pertinent Correspondence (if applicable) []
1 0 Change Order Log(s) (at site for EAO Audit) []
0 2 Proposed Task Order/Supplemental Task Order (for []
change orders on requirements contracts only if applicable)
0 2 125% Overrun Justification Report []
(for change orders on unit-priced contracts and
requirements contracts, if applicable)
0 2 Bid Analysis (Top 3 bidders unit prices) []
(back -up to 125% Overrun Report, if applicable)
1 1 Cost Proposal For Unit Price (if applicable) µ [ ] or [•]
0 2 Last Approved Time Extension (if applicable) []
0 2 Letter documenting Emergency Situation (if applicable) []
0 2 Client/Sponsor Agency Letter (if client requested change) []
1 1 Certification Memo (if applicable) []
Note: This form can be used only when a contract’s time
has expired and a Time Extension cannot be approved.
0 2 Comptroller’s or Agency Head’s Dispute Determination []
(if applicable)
IF CM BUILD/CM DESIGN BUILD**:
0 2 Staffing numbers and schedules tied into project phase µ [•]
(if applicable)
0 2 Staffing rates µ (if applicable) [•]
0 2 Bids, estimates for material & labor, specs and/or [•]
drawings, approved Subcontractor CO/OR Authorizations µ
(when CM change orders on construction allowances are due
to or include previously approved subcontract change orders
or overruns)
0 2 Letter of Approval for Allowance Transfer (if applicable) [•]
1 0 CM Change Order Log (at site for EAO Audit) [•]
0 2 Subcontract CO/OR Authorization (Parts A & B) µ [•]
(for Subcontract CO/OR)
1 1 Notarized cost pricing certificate (for Subcontract CO/OR) [•]
0 2 Subcontractor’s cost proposal (for Subcontract CO/OR) µ [•]
0 2 Bids, if applicable (for Subcontract CO/OR) µ [•]
_________________________________________________________________________________________
___
NOTES: 1. An original is a document with an original signature. All originals must be signed with blue ink.
2. [ ]: Submitted by RE/CPM; [•]: Submitted by Contractor; µ: Required at negotiations.
3. ** Additional requirements.
Note: RE/CPM to check off [√] all documents enclosed/at site.
docckl 09/01/98; rev.
10/15/99